Age, Health, and Education Determine Supportive Care Needs of Men Younger Than 70 Years With Prostate Cancer

Purpose It is important to meet the supportive care needs of cancer patients to ensure their satisfaction with their care. A population-wide sample of men younger than 70 years and newly diagnosed with prostate cancer was surveyed to determine their unmet needs in five domains and the factors predicting them. Patients and Methods Eligible men were younger than 70 years and residents in New South Wales, Australia, with newly diagnosed histopathologically confirmed prostate cancer. Sixty-seven percent of eligible men diagnosed between October 2000 and October 2001 participated. Demographic, treatment, and self-reported health data were collected. Information on cancer stage, grade, and prostate-specific antigen was obtained from medical records. Logistic regression analyses determined patient and treatment variables that predicted higher unmet needs. Results More than half (54%) of men with prostate cancer expressed some level of unmet psychological need, and 47% expressed unmet sexuality needs. Nearly one fourth expressed a moderate or high level of unmet need with respect to changes in sexuality. Sexuality needs were independently predicted by being younger, having had a secondary school education only, having had surgery, and being married, living as married, or divorced. Uncertainty about the future was also an important area of unmet need. Conclusion Attention should be given to sexual and psychological needs in the early months after diagnosis or treatment of prostate cancer, particularly in younger men, those with less education, and those having surgery. Research into better ways of meeting these needs will enable us to meet them with as much rigor as we meet clinical treatment needs.

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Patients' Supportive Care Needs Beyond the End of Cancer Treatment: A Prospective, Longitudinal Survey

Journal of Clinical Oncology ◽

10.1200/jco.2009.22.5151 ◽

2009 ◽

Vol 27 (36) ◽

pp. 6172-6179 ◽

Cited By ~ 354

Author(s):

Jo Armes ◽

Maggie Crowe ◽

Lynne Colbourne ◽

Helen Morgan ◽

Trevor Murrells ◽

...

Keyword(s):

Negative Affect ◽

Supportive Care ◽

Unmet Needs ◽

Unmet Need ◽

Hormone Treatment ◽

Longitudinal Survey ◽

Supportive Care Needs ◽

Fear Of Recurrence ◽

Care Needs ◽

Prospective Longitudinal

Purpose To estimate prevalence and severity of patients' self-perceived supportive care needs in the immediate post-treatment phase and identify predictors of unmet need. Patients and Methods A multicenter, prospective, longitudinal survey was conducted. Sixty-six centers recruited patients for 12 weeks. Patients receiving treatment for the following cancers were recruited: breast, prostate, colorectal, and gynecologic cancer and non-Hodgkin's lymphoma. Measures of supportive care needs, anxiety and depression, fear of recurrence, and positive and negative affect were completed at the end of treatment (T0) and 6 months later (T1). Results Of 1,850 patients given questionnaire packs, 1,425 (79%) returned questionnaires at T0, and 1,152 (62%) returned questionnaires at T1. Mean age was 61 years; and most respondents were female (69%) and had breast cancer (57%). Most patients had no or few moderate or severe unmet supportive care needs. However, 30% reported more than five unmet needs at baseline, and for 60% of these patients, the situation did not improve. At both assessments, the most frequently endorsed unmet needs were psychological needs and fear of recurrence. Logistic regression revealed several statistically significant predictors of unmet need, including receipt of hormone treatment, negative affect, and experiencing an unrelated significant event between assessments. Conclusion Most patients do not express unmet needs for supportive care after treatment. Thirty percent reported more than five moderate or severe unmet needs at both assessments. Unmet needs were predicted by hormone treatment, negative mood, and experiencing a significant event. Our results suggest that there is a proportion of survivors with unmet needs who might benefit from the targeted application of psychosocial resources.

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Assessment of Needs of Hospitalized Cancer Patients with Advanced Cancer

Global Journal of Health Science ◽

10.5539/gjhs.v9n6p184 ◽

2016 ◽

Vol 9 (6) ◽

pp. 184

Author(s):

Theocharis I. Konstantinidis ◽

George Samonis ◽

Pavlos Sarafis ◽

Anastas Philalithis

Keyword(s):

Supportive Care ◽

Psychometric Properties ◽

Advanced Cancer ◽

Unmet Needs ◽

Supportive Care Needs ◽

University Hospital ◽

Validity And Reliability ◽

Treatment Needs ◽

Care Needs ◽

Optimal Care

BACKGROUND: Needs assessment of patients with advanced cancer (ACPs) is essential for optimal care. This study evaluated the psychometric properties of the Needs Evaluation Questionnaire (NEQ) and assessed the supportive care needs of hospitalized ACPs with solid tumors.METHODS: The validated Greek version of the NEQ along with demographic and clinical data of 95 consecutive breast, colon and lung ACPs hospitalized in the University Hospital of Heraklion, Crete, Greece, were used to assess their supportive care needs. The NEQ score was subsequently rescaled to 0-100.RESULTS: NEQ displayed adequate psychometric properties in validity and reliability tests. The average number of needs reported was 8.4(4.1). Female and younger patients reported a higher score of unmet needs than their male (40.3 versus 30.0, p=0.005) and elder (40.1 versus 29.2, p=0.001) counterparts. Patients reported higher needs in receiving information about their future (73.7%), treatments (56.8%), examinations (51.6%) and for the need "to speak with people who had the same experience" (53.7%). In contrast, lower scores were observed in the assistance and treatments needs regarding intimacy (11.6%), "better attention from nurses" (15.8%), "more help with eating, dressing, and going to the bathroom" (18.9%). Lung ACPs reported more assistance and treatment needs than colon and breast ACPs (p<0.05).CONCLUSIONS: ACPs reported many unmet needs, mainly informational, that were related to gender, age, and type of cancer. NEQ is a useful tool in everyday clinical practice for obtaining information for supportive care needs. Health care personnel has to address these needs for implementing effective patient-centered care.

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Supportive care needs among Mexican young women with breast cancer.

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.15_suppl.e21552 ◽

2017 ◽

Vol 35 (15_suppl) ◽

pp. e21552-e21552

Author(s):

C. Lizette Galvez ◽

Cynthia Villarreal-Garza ◽

Alejandro Mohar

Keyword(s):

Breast Cancer ◽

Supportive Care ◽

Health Systems ◽

Young Women ◽

Active Treatment ◽

Unmet Needs ◽

Short Form ◽

Unmet Need ◽

Supportive Care Needs ◽

Care Needs

e21552 Background: Despite high rates of breast cancer (BC) in young Mexican women, information about their particular needs and concerns is largely unknown. Understanding the patients individual needs in a population with unique socio-cultural features is essential to guide supportive care and improve their quality of life. We aim to describe the unmet needs of Mexican young women with breast cancer (YWBC). Methods: A cross-sectional study including women with stage I-III BC aged 40 years or younger at diagnosis was conducted at the National Cancer Institute in Mexico City. YWBC were invited to complete the Supportive Care Needs Survey, Short Form-34 (SCNS-SF34), a comprehensive tool that measures the perceived unmet needs of cancer patients. The survey was previously adapted and validated in our population for its use. Results: 81 consecutive patients with median age at diagnosis of 35.09 (SD 3.9) years were included. 45.7% were married and 29.2% completed secondary school. 92.6% had stage II-III BC. 70.4% were undergoing active treatment and 29.6% were either on hormonal therapy or surveillance. From a total standardized score of 100, the health systems and information domain had the highest mean score (39.3), followed by the psychological domain (36.3). The sexuality domain had the lowest mean score (27). The highest ranked items of unmet needs (by mean crude score) were: to be informed about cancer is under control or diminishing (2.9), to be informed about things you can do to help yourself get well (2.8), lack of energy and fatigue (2.7), and fear about the cancer spreading (2.7). Perceived needs among patients undergoing active treatment were greater compared to those in follow-up (z = -2.390 p = 0.017), predominantly in the sexuality domain (z = -2.084 p = 0.037). Conclusions: Mexican YWBC have specific needs that are currently not systematically addressed. The predominant unmet need regarding health systems and information should be a priority. Further research to understand the needs and concerns of this unique and understudied patient population will aid tailor clinical interventions and supportive care.

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Unmet Supportive Care Needs of Survival Patients with Nasopharyngeal Carcinoma

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17103519 ◽

2020 ◽

Vol 17 (10) ◽

pp. 3519

Author(s):

Ya-Ling Lin ◽

Chun-Yi Chuang ◽

Vivian Chia-Rong Hsieh ◽

Ming-Shou Tsai ◽

Yen-Fang Liu ◽

...

Keyword(s):

Nasopharyngeal Carcinoma ◽

Supportive Care ◽

Patient Care ◽

Unmet Needs ◽

Unmet Need ◽

Treatment Phase ◽

Supportive Care Needs ◽

Cancer Stage ◽

Care Needs ◽

Old Patients

This study examined unmet supportive care needs for nasopharyngeal carcinoma (NPC) patients by cancer stage and treatment phase, as well as the factors associated with these unmet needs. At a cancer center in central Taiwan, information on consultations and services patients received at the resource center was described in the service chart. We extracted data available for NPC patients to evaluate their unmet supportive care needs (health information, patient care, treatment, nutritional, psychosocial, and economic) and their association with sex, age, cancer stage, and treatment phase. The 145 NPC patients were 68.3% male, 60.0% less than 50 years old, and 83.5% diagnosed at stages III and IV. The most prevalent unmet need was nutritional (40.7%), followed by psychosocial and patient care, with economic unmet needs the least (4.8%). Women were more likely than men to have patient care unmet needs (32.6% vs. 15.2%). Nutritional unmet need was higher in older patients than in younger ones (83.3% vs. 35.6%), with an adjusted odds ratio (aOR) of 9.39 (95% confidence interval (CI) = 2.17–40.70). Psychosocial unmet needs were higher in younger patients than old patients (34.5% vs. 0%) and in patients interviewed during follow-up period than those at newly diagnosed (55.2% vs. 23.1%). In conclusion, the most commonly reported concern was nutritional unmet needs for NPC patients. Their unmet needs may vary by demographic and disease factors, including patient sex and age, cancer stage, and treatment phase.

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Unmet supportive care needs and determinants among cancer patients treated at University of Gondar Specialized Hospital, Northwest Ethiopia: A prospective cross-sectional study

Journal of Oncology Pharmacy Practice ◽

10.1177/1078155220971035 ◽

2020 ◽

pp. 107815522097103

Author(s):

Begashaw Melaku Gebresillassie ◽

Asnakew Achaw Ayele ◽

Tadesse Melaku Abegaz

Keyword(s):

Supportive Care ◽

Cancer Patients ◽

Unmet Needs ◽

Unmet Need ◽

Cross Sectional Study ◽

Supportive Care Needs ◽

Care Needs ◽

Cross Sectional ◽

Predicting Factors ◽

Specialized Hospital

Background Assessment of supportive care needs is an important requirement to plan supportive care intervention. This study aimed to assess the unmet supportive care needs of cancer patients treated at the University of Gondar Specialized Hospital, Ethiopia. Methods A prospective cross-sectional study was conducted from January 1, 2017 to August 30, 2017. Adult (18 years and greater) cancer patients and those who were receiving therapy were included. The 34-Item short-form Supportive Care Needs Survey(SCNS-SF34) tool was used to assess unmet needs. The data collected were analyzed using SPSS version-21. Results A total of 150 interview guides were included in the analysis (97.4% of response rate). In the majority of 65(43.3%) the participants, the disease was metastasized even though they have undergone surgery 78 (52%). The overall mean score level of unmet need for cancer care was 3.49. The highest unmet need mean score was reported from the health system and information need domain. A significant unmet need difference concerning different need domain was found in sex, age, residence, occupation status, and monthly income. Sex and residence were found to be independent predicting factors for unmet supportive care needs. Conclusion The overall level of unmet need was high. A significant unmet need difference was found in sex, age, residence, occupation status, and monthly income. Sex and residence were found to be independent predicting factors. Hence, professionals working in the oncology unit should be aware of unmet needs and expect changes over time. Certain programs and services to address the identified unmet needs should be urgently provided.

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Unmet supportive care needs and associated factors among young adult cancer patients in Japan

BMC Cancer ◽

10.1186/s12885-020-07721-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Masako Okamura ◽

Maiko Fujimori ◽

Ayako Sato ◽

Yosuke Uchitomi

Keyword(s):

Young Adult ◽

Supportive Care ◽

Cancer Patients ◽

Associated Factors ◽

Information Needs ◽

Unmet Needs ◽

Psychological Needs ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer

Abstract Background Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors. Methods In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs. Results A total of 206 patients (180 female) with a mean age of 33.7 years (SD = 4.3, range: 22–39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL. Conclusions More than 70% of young adult cancer patients reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.

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Unmet supportive care needs and associated factors among young adult cancer patients in Japan

10.21203/rs.2.22046/v1 ◽

2020 ◽

Author(s):

Masako Okamura ◽

Maiko Fujimori ◽

Ayako Sato ◽

Yosuke Uchitomi

Keyword(s):

Social Support ◽

Young Adult ◽

Supportive Care ◽

Associated Factors ◽

Information Needs ◽

Unmet Needs ◽

Psychological Needs ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer

Abstract Background: Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors.Methods: In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs.Results: A total of 206 patients (180 female) with a mean age of 33.7 years (SD=4.3, range: 22-39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL.Conclusions: More than 70% of young adult cancer survivors reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.

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Unmet supportive care needs and associated factors among young adult cancer patients in Japan.

10.21203/rs.2.22046/v2 ◽

2020 ◽

Author(s):

Masako Okamura ◽

Maiko Fujimori ◽

Ayako Sato ◽

Yosuke Uchitomi

Keyword(s):

Social Support ◽

Young Adult ◽

Supportive Care ◽

Associated Factors ◽

Information Needs ◽

Unmet Needs ◽

Psychological Needs ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer

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Unmet supportive care needs and associated factors among young adult cancer patients in Japan

10.21203/rs.2.22046/v3 ◽

2020 ◽

Author(s):

Masako Okamura ◽

Maiko Fujimori ◽

Ayako Sato ◽

Yosuke Uchitomi

Keyword(s):

Young Adult ◽

Supportive Care ◽

Cancer Patients ◽

Associated Factors ◽

Information Needs ◽

Unmet Needs ◽

Psychological Needs ◽

Supportive Care Needs ◽

Care Needs ◽

Young Adult Cancer

Abstract Background: Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors.Methods: In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs.Results: A total of 206 patients (180 female) with a mean age of 33.7 years (SD=4.3, range: 22-39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL.Conclusions: More than 70% of young adult cancer patients reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.

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